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<br />I. <br />~ <br /> <br />. CMC AND COMM!.J'NITY ACTMTIES: <br /> <br />. <br /> <br />. <br /> <br />Describe past or present civic and/or community activities which may be <br />relevant in qualifying you to serve on this board or commission. <br />h~Cl..J.42.'l"'~~f ~ \ ~ Ri\ltL.-( G.ro..clv~ - \'lqca- <br />~~ l<t~~\ /"'r'lctW\~ <br />o..._-\\"f.,. (V\LW\VcA o~ (l,..,ri~\ Lv~'f~ Gtc..v~cL- ',^cluJi", (V\Lr..c MiVlj,\.,.y BCl~~ MltIK~ <br />e;a... ~tt.....l BVli~ \)i~~Co.~ \r~'^:i (.AJoy-\... G.r~ m'~~ <br />1>-.s~ ~~"~\ d.-t CovvIMVt'~+'" ~ll.l1\~.a.W\b-v-\~c., B(I~ UI AJcr(.l,. {)~lcofo.. <br />Ac.t\ "c.L I? Nvt~ '''1 ~(. Tfo-J.e. fl;l"~~ ,zo.-\.ic:rr" ~.t ~r"" 6'1"" ~ 1'2"''''''' txJ.t'" (! e- <br />"T7'Qo.",c, D. S'~'CU4. -h'DY\ C::~ "",.nffzlL'$- <br />ATTENDANCE: : . <br /> <br />Axe you aware of the importance of regular meeting attendance including the <br />time commitment involved in preparing for meetings, and do you feel you <br />have the time available to be an active participant: -X. Yes _ No <br /> <br />Comments: <br /> <br />CONFLIQT OF INTEREST~ <br /> <br />I wish to disclose the following potential conflicts of interest that mayor will. <br />arise if I become a member of this board or commission. <br /> <br />O'~\'1 CPV' ~ \ 'Co. ~ U)'\JY. \,e ~':1 ~u..fv ~(,. p rC1 j<.. c -b a cs::;oc..i ~ c..ui4{... <br />Co f' y ~t ~M 'f\o1 <Lr. .s "'-0 vlJ +\.\.~ oc.c.v-., ~ wav (c>. o...bs-h',V\ -FrC1"W' <br />VC,)~^J ~ ~e. 'I~S~. <br /> <br />aJ(f2~~~ <br /> <br />Signature <br /> <br />.----------.-.----------.------------------.-.----------------------------------------------------------- <br /> <br />The selection process will vary according to the number of applicants and <br />vacancies, and may not include interviews with all candidates. <br /> <br />THANK YOU FOR YOUR INTEREST IN SERVING ON A BOARD OR <br />COMMISSION. <br /> <br />Return Annlication To: <br /> <br />City Clerk's Office <br />City of Elk River <br />13065 Orono Parkway <br />PO Box 490 <br />Elk River, MN 55330 <br />Phone: 441-7420 <br /> <br />OFFICE USE <br /> <br />.o\ppointment: <br /> <br />Date: <br /> <br />Term: <br /> <br />s:\forms\brdcomap.dDC <br />